Provider Demographics
NPI:1477235372
Name:SVAP MED LLC
Entity Type:Organization
Organization Name:SVAP MED LLC
Other - Org Name:METRO ATLANTA PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SWETHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADDAGATLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-737-4775
Mailing Address - Street 1:7778 MCGINNIS FERRY RD # 286
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-1622
Mailing Address - Country:US
Mailing Address - Phone:407-310-3140
Mailing Address - Fax:478-974-5114
Practice Address - Street 1:535 JESSE JEWELL PKWY SE STE A
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3772
Practice Address - Country:US
Practice Address - Phone:407-310-3140
Practice Address - Fax:478-974-5114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty